Multiple Registration Form - Arizona Youth Soccer Assosiation
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1MULTIPLE REGISTRATION FORM
Seasonal Year: ______ to ______
INSTRUCTIONS
,
the following is required:
A completed MULTIPLE REGISTRATION FORM
A completed MEMBER REGISTRATION FORM designating the secondary team to which the member is to roster
The members original player pass from the first team (must be attached in order for the request for multiple rostering to be processed)
An additional registration fee
Forward all completed forms to the AYSA for APPROVAL.
INFORMATION FOR REGISTRARS, COACHES, MEMBERS AND PARENTS,
By signing this form, all parties acknowledge that they
understand the AYSA provisions regarding multiple rostering and will comply with such provisions. The following is an informational synopsis of the
requirements for a member to be rostered on two teams:
The member may only roster to the secondary team upon the initial rosterinq of that team
The first team to which the member is rostered automatically become the Primary team.
A multiple rostered member may request a transfer to another team, but in doing so, will LOSE his/her multiple roster status and thereafter will be
allowed to play only on the team he/she transferred to.
No youth member will be allowed to participate in more than TWO (2) games per day.
Coaches and members may not be forced or required to multiple roster a member.
The PRIMARY TEAM Coach has the final say concerning a member's participation in any event (League game, game, tournament, etc.).
A member must play for his/her primary team in any competition sponsored by USYSA or AYSA (AYSA Cup play) unless the primary team is not entered.
A member serving suspensions for misconduct by any rule or D&A committee action will do so without regard to which team may be affected. For
example: A member receives a red card while playing for Team A and must sit out the next game. The next game is with Team B. The member will sit out
the game with Team B.
Member Name: __________________________________________
Birth Date: ______________
|__|__|__|__| - |__|__|__| - |__|__|__|__| - |__|__|
Member I.D.
CONCURRENCE AND APPROVALS
Member Signature: X__________________________________________
Date: ______________
Parent/Guardian Signature: X__________________________________________
Date: ______________
PRIMARY TEAM
Primary Team Name: _________________________________________
|__|__|__|__| - |__|__|__| - |__|__|__|__| - |__|__|
Primary Team I.D.
League Name: _______________________________ Club Name: __________________________________________
Primary Coach Name: _______________________________________________
Primary Coach Signature: X__________________________________________
Date: ______________
League/Club Registrar Signature: X__________________________________________
Date: ______________
SECONDARY TEAM
Secondary Team Name: _________________________________________
Secondary Team I.D.
|__|__|__|__| - |__|__|__| - |__|__|__|__| - |__|__|
League Name: _______________________________ Club Name: __________________________________________
Secondary Coach Name: _______________________________________________
Secondary Coach Signature: X__________________________________________
Date: ______________
League/Club Registrar Signature: X__________________________________________
Date: ______________
FOR STATE ASSOCIATION USE ONLY
Processed by: _____________________________________________________
Date: ______________
Approvred
Disapproved
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